The true northerner. [volume] (Paw Paw, Mich.) 1855-1920, 1887-06-08
SOME MEDICAL MISCELLANY.
short Cuts from Exchanges About the ILL.,
that Flesh L. Heir to.


that Flesh Is Heir To.
The nose occupies such prominent
position that it is very liable to injury,
and as its shape and general appear
ance adds to or detracts so much from
the personal good looks, 1t was former
ly very subject to mutilation. The
operations for its restoration after loss
is termed rhinoplasty. Two of these
have been practiced: The Indian,
which dates back to time before
written history was begun, and the
Italian, known also by the name of its
inventor, Tallacotius or TagliacdEZi,
who first published description of it
in 1897.
The Indian operation was introduced
into Europe in 1916. The new nose is
made from a flap taken from the fore
.head. The first thing to be done is to
take thin piece of gutta percha or
cardboard, which is modelled to the
form and size of the wished-for nasal
organ. This is then fattened and
placed upon the forehead as guide
by which to form the flap. AS the
skin always shrinks after it is loosened
from the underlying tissues, the flap
must be made about quarter OF an
inch larger on all sides than the model.
The outline is marked with black
crayon or with tincture of iodine.
Care must be taken not to make the
flap too large or too small. The FLAP
to be raised may be taken from the
center of the forehead or from either
side. In raising it the cut is begun
near the bridge and carried out so as
TO make the part remaining attached
rather long, SO that when twisted upon
itself, as it must be when applied to its
new position. its blood-supply will not
he cut off. The flap includes all the
tissues down to the bone, and on one
side the incision extends lower than on
the other, so as to facilitate the twist
ing to which it is to be subjected. At
ter the flap has been detached from the
bone everywhere except at its stem,
toward the bridge of the nose, it is laid
over piece of lint, back in nearly its
old position, while the ''stump" of the
nose is prepared to receive it. This is
done by making groove on each side
TO receive the edges of the flap, which
ought to be pared into a wedge shape,
so that raw edges come together. The
edges of the flap are then attached to
their new position, the stem or ''pedi-
Gle" of the flap being lightly twisted so
as to make this position possible by
fine silk stitches.
\ pledget of oiled lint or cotton is
then gently pushed under the flap to
between the nostrils) has been formed
by bending down the central tip of the
flap, two such rolls of lint are placed in
the positions the future nostrils are to
occupy. A piece of oiled silk or lint is
10 be laid over the new nose, which
thus far does not look much like one,
to preserve its temperature and thus
encourage the circulation. The stitches
are allowed to remain until firm union
has taken place. The patient is placed
in bed in warm room. and the dress
ings are not disturbed for several days.
y new support will probably have to
replace the first one in three or four
days. The wound in the forehead rs
drawn together like the edges of the
assure in the operation for harelip.
The division between the nostrils
may be made by small flap taken
from the upper lip. This is preferable
to an attempt to form one from the
forehead flap. Some surgeons think it
better not TO attempt to replace this
part. This may be done in two or
three weeks after the formation of the
main part of the nose. At the end of
a month or six weeks, the part that at
taches the root Of the new nose TO the
forehead should be separated, by TAX
ing out a wedged-shaped piece, leaving
the bridge smooth, or the bridge or
root of the new nose may be cut
wedge-shaped and laid into notch in
the forehead prepared for its reception
at the first operation. The openings
for air must be kept supported in po-
sition for several months by tubes of
silver or gutta percha. After some
time the new nose keeps its shape
without support. This operation is
usually successfully. Louis Globe
Democrat.
PLENTY OF WATER A GOOD THING.
Medical authorities now eclare that
it is of vital importance to health that
the system should receive daily suf-
ficent quantity of water to amount to
what sailors would call ''flushing;"
that is, sufficient to wash away the
waste. Most of the matter which
should be eXcreted is solid, and re-
quires a comparatively large volume
of fluid to dissolve it SO that it may be
cast off, an example of which may be
seen in the case of uric acid, which
needs several thousand times its
weight in water to dissolve; or else 1t
crystalizes in the shape of calculi, or
produces other disease. Three and a
half pints of water or other clear fluid.
not INSTRUCTED by semi-solid contents,
should be taken daily by every adult,
and by large people as much as four
and half or five pints, in order to
keep the cells of the kidneys well
washed out, the effete waste matter
from the possibility of depositing it.
A l.. l.. 4.